Dr. Reed, I have been a transgender woman for 6 years and have been pleasing my boyfriend with anal sex. Is this a good idea in that I am considering transsexual male to female vaginoplasty? Sarah
We do not recommend anal sex for at least 8 weeks before surgery as this tends to thin out the rectum and may make it more amenable to a rectal perforation during creation of the pelvic space. Surely after transsexual vaginoplasty we do not recommend this as i might lead to an injury called a rectal vaginal fistula.
Th symptoms of this are passing gas and stool from our vagina. Usually this may close on its own with a high protein low residue diet for 6 weeks or so. But why risk this?
Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Miami